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Sunday, October 3, 2010

I attended the HL7 International Council meeting today (Sunday), and have some updates from the HL7 affiliates. Before I list the high points, I must appologized to Australia, Brazil and any others I missed at the very start.

France: Discussed their Dossiér Medical Paragé project which is a combination of #HL7 #CDA and #IHE XDS

Germany: Developed XDS.d2d which is #IHE #XDS over German developed Doctor to Doctor (D2D) protocol

Italy: Develops #CDA Patient Summary similar to epSOS work, looking at digital signatures for #CDA and developing a Discharge Summary

India: Has a very strong strong HL7 V2 and #CDA Certification program and HL7 eLearning Programs

Japan: The Japanese MOH recognizes HL7 CDA R2 and V2.5 for eRX, lab Results for Japanese Healthdare System for subsidy ellible use. They also also recognized #IHE PDI profile. About $3B US (300B yen) to be awarded to 90 regions for Regional Healthcare Revitalization, 10-15% devoted to HIT

Nearly 600 systems in Japan can support #HL7 V2.5 CPOE, representing about 60% of all systems installed.

New Zealand: gp2gp is #CDA representation similar to CCD and also reports interest in #IHE #XDS

HL7 Norway was just established this year, and is now accepting applications for membership, and has already lined up several benefactors.

Norway is also supporting #CDA R2 and #IHE #XDS They report some of the same old political challenges with CEN 13606 and HL7 #CDA even though HL7 and CEN harmonzied these in 2005!

The Netherlands expressed interest in HL7 CCD, CDA and DCM, and also first time mention of CCR on an International slide, and a desire to understand these different creatures. They also expressed that the pendulum is swinging from Best-of-breed to All-in-one. Joint IHE, HL7 and OIZ board meetings have now been established in the Netherland SDOs.

Pakistan has very nice web site, nice space at Technology Innovation Center at NUST, is developing their organizational structure.

HL7 Spain focused on eLearning efforts.

Taiwan is working on a discharge summary, imaging reports, lab test results, and medications. They point out that there only one payer in Taiwan, simplifying things dramatically. About 20% of hospitals and 10% of cliinics using EHRs now, pushing for around 75% of both by 2012

The UK focused on standards development and training rather than implementation

There is still no US Affiliate, but that could change. There is at least US representation on the Affiliate council.

I also presented an update on IHE activities related to HL7 in my role as the HL7 Liaison to IHE at the joint TSC/International Council Meeting.